MR. Lino Banuelos, LCSW

NPI #1366885477 in Wasco, California

Provider Information

NPI Number: 1366885477
Entity Type: Individual
Name: MR. Lino Banuelos, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Apr 9, 2013
Last Updated: Apr 9, 2013

Practice Location

Address: 701 SCOFIELD AVE
City: Wasco
State: California
ZIP Code: 93280-7515
Phone: (661) 758-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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